Evaluation of a Mobile Application to Facilitate the Interpretation of Spirometry by Family Physicians and Residents
Evaluation of a Mobile Application to Facilitate the Interpretation of the Spirometry Test by Family Physicians and Family Medicine Residents: Impact on Prescription and Interpretation of This Test
Problematic: Spirometry is used to objectify the obstructive syndrome defining chronic obstructive pulmonary disease (COPD). However, this test remains underused in the primary care. The tools available for its interpretation are little used and the existence of several decision algorithms can create confusion during the diagnosis.
Principal objective: To evaluate the impact of a mobile application (SPIRO©) on medical practice (interpretation and prescription of spirometry) of family physicians and family medicine residents working in family medicine units (FMU) in Quebec affiliated with Laval University.
Secondary objective : To evaluate the usability of SPIRO© among family physicians and residents in family medicine working in FMU in Quebec affiliated with Laval University.
Methods: This is a pre-post clinical trial with control group. Participants (family MD and family medicine residents) will be recruited from the various FMU affiliated with Laval University. Participants working in the FMU in the experimental group will be able to use the SPIRO® mobile application to facilitate interpretation of the spirometry test results while participants in the control group will not have access to it during the study. The basic characteristics of the participants and various behavioral parameters based on the theory of planned behavior concerning the interpretation and prescription of spirometry test will be measured. Data from the control group will be collected before those in the experimental group at the time the application is not yet available, which will minimize contamination between groups. The data will be collected with questionnaires delivered in person to the participants before the intervention (T0 time) and then four months later (T1 time) during their team or research meeting. Participants will be recruited in eight of the 12 Quebec FMU affiliated with Laval University, who will be randomly assigned to two equal groups: control and experimental. The intervention will consist in sending the SPIRO© mobile application to participants in the experimental group who will use it for a period of four months.
研究概览
详细说明
Hypothesis : The investigators hypothesize that the use of the SPIRO© application will increase the skills and confidence of family physicians and family medicine residents in prescribing and interpreting spirometry compared to the control group.
The project will be conducted in the following six major steps: 1) Collection of socio-demographic and behavioral characteristics of participants using sections A, B, C and D of the NAPI questionnaire in the control group; 2) Intervention in the control group (they will continue their daily medical practice without being subject to any intervention by our research team), for a period of 4 months; 3) Measurement of behavioral changes in the control group using Sections B, C, D and E of the NAPI questionnaire 4 months after the start of the study; 4) Collection of socio-demographic and behavioral data from participants in the experimental group using sections A, B, C and D of the NAPI questionnaire; 5) E-mail distribution of the application and use of the application by participants in the experimental group for a period of four months, 6) Measurement of behavioral changes in the experimental group after the use of the application, Using sections B, C, D and E of the NAPI questionnaire as well as a questionnaire on the application SPIRO© (SPIRO questionnaire) which will evaluate the usability of this one.
The study has been approved by the research ethic board of the Health and Social Services Center of the old capital - attached to the Integrated Center for Health and Social Services of the National Capital.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Quebec
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Baie-Comeau、Quebec、加拿大、G4Z 3B8
- UMF de Manicouagan
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Gaspé、Quebec、加拿大、G4X 2W2
- UMF de Gaspé
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Lac-Etchemin、Quebec、加拿大、G0R 1S0
- UMF des Etchemins
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Lévis、Quebec、加拿大、G6W 0J4
- UMF de Lévis
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Quebec City、Quebec、加拿大、G1J 2G1
- Unité de médecine familiale - GMF Maizerets
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Quebec City、Quebec、加拿大、G1L 3L5
- UMF Saint-François d'Assise
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Quebec City、Quebec、加拿大、G1V 0B7
- Unité de médecine familiale Laval
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Trois-Pistoles、Quebec、加拿大、G0L 4K0
- UMF de Trois-Pistoles
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Participants need to be primary care physicians or residents in family medicine of 18 years old or more working in one of the 12 family medicine units in Quebec affiliated with Laval University.
Exclusion Criteria:
- Health professionals not practicing family medicine and residents of other specialties will not be eligible. Individuals who participated in the development of the " subjective Norms, Attitudes, Perceived behavioral control, Intentions (NAPI) " questionnaires (apparent validation) will be excluded.
学习计划
研究是如何设计的？
设计细节
- 观测模型：队列
- 时间观点：预期
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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Control Group
Primary care physicians and residents in family medicine of family medicine units affiliated with Laval University.
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Experimental Group
Primary care physicians and residents in family medicine of family medicine units affiliated with Laval University that will use the mobile application SPIRO(c) for a period of four months.
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Participants in the Experimental Group will be asked to use SPIRO mobile application during a period of 4 months.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Beliefs about capabilities - interpretation
大体时间：six weeks
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The beliefs about the capabilities of primary care physicians and residents in family medicine regarding interpretation of spirometry.
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six weeks
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Beliefs about consequences - prescription
大体时间：six weeks
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The beliefs about the consequences of primary care physicians and residents in family medicine regarding prescription of spirometry.
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six weeks
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Beliefs about consequences - interpretation
大体时间：six weeks
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The beliefs about the consequences of primary care physicians and residents in family medicine regarding interpretation of spirometry.
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six weeks
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Beliefs about consequences - use of a mobile application
大体时间：six weeks
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The beliefs about the consequences of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.
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six weeks
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Moral norms - prescription
大体时间：six weeks
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The beliefs about the moral norms of primary care physicians and residents in family medicine regarding prescription of spirometry.
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six weeks
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Moral norms - interpretation
大体时间：six weeks
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The beliefs about the moral norms of primary care physicians and residents in family medicine regarding interpretation of spirometry.
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six weeks
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Moral norms - use of a mobile application
大体时间：six weeks
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The beliefs about the moral norms of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.
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six weeks
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Intentions - prescription
大体时间：six weeks
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The beliefs about the intentions of primary care physicians and residents in family medicine regarding prescription of spirometry.
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six weeks
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Intentions - interpretation
大体时间：six weeks
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The beliefs about the intentions of primary care physicians and residents in family medicine regarding interpretation of spirometry.
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six weeks
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Intentions - use of a mobile application
大体时间：six weeks
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The beliefs about the intentions of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.
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six weeks
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Social influence - prescription
大体时间：six weeks
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The beliefs about the social influence of primary care physicians and residents in family medicine regarding prescription of spirometry.
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six weeks
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Social influence - interpretation
大体时间：six weeks
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The beliefs about the social influence of primary care physicians and residents in family medicine regarding interpretation of spirometry.
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six weeks
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Social influence - use of a mobile application
大体时间：six weeks
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The beliefs about the social influence of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.
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six weeks
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Belief about capabilities - prescription
大体时间：six weeks
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The beliefs about the belief about capabilities of primary care physicians and residents in family medicine regarding prescription of spirometry.
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six weeks
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Belief about capabilities - use of a mobile application
大体时间：six weeks
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The beliefs about the belief about capabilities of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.
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six weeks
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合作者和调查者
调查人员
- 首席研究员：Louis-Philippe Boulet, MD、Heart and Lung Institute
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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